Individual provider Active NPI

Greta L. Dijak, P.T.

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1770680753
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003923 Issued in MI
Practice address
5483 Gratiot Rd
Saginaw, MI 48638-6037
Phone
(989) 799-5557
Fax
(989) 799-2840
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501003923 MI Primary

Addresses

Primary practice location

5483 Gratiot Rd
Saginaw, MI 48638-6037

Mailing address

5483 Gratiot Rd
Saginaw, MI 48638-6037
Phone (989) 799-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1770680753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5483 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386037",
            "telephone_number": "989-799-5557",
            "fax_number": "989-799-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5483 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386037",
            "telephone_number": "989-799-5557",
            "fax_number": "989-799-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJAK",
        "first_name": "GRETA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.